Organization
LYNN M. SIKORSKI, D.O., P.C.
Active
Organization
LYNN M. SIKORSKI, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN MARIE SIKORSKI D.O. (PRESIDENT)
(248) 338-6400
Entity
Organization
Contact information
Practice address
1900 S TELEGRAPH RD, SUITE 100, BLOOMFIELD HILLS, MI 48302-0238
(248) 338-6400
(248) 338-2920
Mailing address
PO BOX 82154, ROCHESTER, MI 48308-2154
(248) 338-6400
(248) 338-2920
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101009963
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156301155
BLUE CROSS IND. PIN
MI
05
—
3319129
—
MI
01
—
5101009963
PHYSICIAN LICENSE
MI
01
—
5630115
BLUE CARE NETWORK PROVIDE
MI
Enumeration date
03/29/2007
Last updated
02/24/2010
Update your record
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